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General NPI Number Information
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NPI Number | 1346669892
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Entity Type | Individual
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Provider Name | KELLY CAMPAGNA PT
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Gender | Female
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 5001 ROCKSIDE RD
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2172
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Country | US
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Telephone | 216-986-4275
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Fax | 216-986-4910
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Provider Business Mailing Address
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Address Line | 38 WALDEN RIDGE DR
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City | HINCKLEY
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State | OH
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Zip | 44233-9278
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Country | US
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Telephone | 216-986-4275
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Fax | 216-986-4910
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7391
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License Number State | OH
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